PROVIDENCE HEALTH & SERVICES OREGON
NPI 1093963209
Clinic/Center - Adult Mental Health in Portland, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1093963209. It was assigned to this organization in the NPPES registry on August 29, 2008. The provider is doing business as Providence Medical Group and Providence Psychiatry East.

Q: What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since August 29, 2008

5251 NE GLISAN ST, BLDG A, 2ND FLOOR, PORTLAND, OR 97213(503) 215-4860 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2026, Jun 20, 2025, May 16, 2025 and 1 more (4 updates tracked since 2020).

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About Providence Health & Services Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1093963209), doing business as Providence Medical Group, is a healthcare organization registered as an adult mental health in Portland, Oregon and active in the NPI registry since August 2008. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1093963209

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address5251 NE GLISAN ST, BLDG A, 2ND FLOORPortland, OR 97213-3052

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(503) 215-4860

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateAugust 29, 2008

Last NPPES UpdateMay 26, 20264 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1093963209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

5251 NE GLISAN ST, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Psychiatry East

Other Identifiers 2

Medicaid500601335OR

Medicaid500611962OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOHN ZALANKA MD

Psychiatry & Neurology (Psychiatry)

5251 NE GLISAN ST, 2ND FLOOR
PORTLAND, OR 97213

Multnomah County (503) 215-4860

KAREN A VERNIER MD

Psychiatry & Neurology (Psychiatry)

5251 NE GLISAN ST, 2ND FLOOR
PORTLAND, OR 97213

Multnomah County (503) 215-4860

DR. JAMES A PEYKANU MD

Psychiatry & Neurology (Psychiatry)

5251 NE GLISAN ST, 2ND FLOOR
PORTLAND, OR 97213

Multnomah County (503) 215-4860

PALANIAPPAN CHIDAMBARAM M.D.

Internal Medicine

5251 NE GLISAN ST, BLDG A, 2ND FLOOR
PORTLAND, OR 97213

Multnomah County (503) 215-4860

SHARON J. HAMMOND PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

5251 NE GLISAN ST, BLDG A, 2ND FLOOR
PORTLAND, OR 97213

Multnomah County (503) 215-6285

BRIAN DENNEY BECKER BRONCHEAU M.D.

Psychiatry & Neurology (Psychiatry)

5251 NE GLISAN ST, BLDG A, 2ND FLOOR
PORTLAND, OR 97213

Multnomah County (503) 215-4860

CARRIE E MILLIGAN MD

Psychiatry & Neurology (Psychiatry)

5251 NE GLISAN ST, 2ND FLOOR
PORTLAND, OR 97213

Multnomah County (503) 215-4860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1093963209. It was assigned to this organization in the NPPES registry on August 29, 2008. The provider is doing business as Providence Medical Group and Providence Psychiatry East.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 5251 NE Glisan St Bldg A, 2nd Floor, Portland, OR 97213. The listed phone number is (503) 215-4860.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.